﻿<!DOCTYPE html>
<html>
<head>
    <meta charset="utf-8" />
    <title>网站标题</title>
    <meta http-equiv="X-UA-Compatible" content="IE=edge">
    <meta name="viewport" content="width=device-width, initial-scale=1.0, maximum-scale=1.0" />
    <!--<link rel="bookmark" type="image/x-icon" href="__Public__/themes/images/favicon.ico" />-->
    <link rel="shortcut icon" href="__Public__/themes/images/favicon.ico" />
    <link rel="icon" href="__Public__/themes/images/favicon.ico" />

    <link rel="stylesheet" href="__Public__/js/libraries/bootstrap/bootstrap.min.css" />
    <link type="text/css" href="__Public__/themes/css/main.min.css" rel="stylesheet" />
    <link href="__Public__/themes/css/site.css" rel="stylesheet" />
    <script type="text/javascript" src="__Public__/js/require.js"></script>
    <script type="text/javascript" src="__Public__/js/app.js"></script>

    <!--[if lt IE 9]>
    <script src="__Public__/js/html5shiv.min.js"></script>
    <script src="__Public__/js/respond.min.js"></script>
    <![endif]-->
    <style type="text/css">
        html, body {
            overflow: auto;
            width: auto;
            height: auto;
            min-height: 100px;
            min-width: 100px;
            margin: 0px;
            padding: 0px;
        }
    </style>
</head>
<body>
    <div class="box" id="form1" style="min-width:550px;">
        <form class="form-horizontal" method="post">
            <div class="box-title">
                <a href="javascript:parent.$.fancybox.close();" class="pull-right" style="color:#fff;"><i class="fa fa-times"></i></a>
                账户提现
            </div>
            <div class="box-content text-center" style="padding:20px;">

                <div class="help-info">
                    您可以通过支付宝或银行卡进行提现，为能尽快提现，请准确填写账户信息。
                </div>
                <div style="padding:10px 0px;">
                    <label><input type="radio" name="payment" checked /> <span>支付宝</span></label>
                    &nbsp;&nbsp;&nbsp;
                    <label><input type="radio" name="payment" /> <span>银行卡</span></label>
                </div>
                <div class="form-alipay" style="width:350px;margin:auto;">
                    <div class="form-group">
                        <label class="control-label col-xs-3">姓名</label>
                        <div class="col-xs-8">
                            <input type="text" name="cardname" class="form-control" value="" readonly="readonly" />
                        </div>
                    </div>
                    <div class="form-group">
                        <label class="control-label col-xs-3">账号</label>
                        <div class="col-xs-8">
                            <input type="text" name="cardnumber" class="form-control" />
                        </div>
                    </div>
                    <div class="form-group">
                        <label class="control-label col-xs-3">电话</label>
                        <div class="col-xs-8">
                            <input type="text" name="phonenumber" class="form-control" />
                        </div>
                    </div>
                    <div class="form-group">
                        <label class="control-label col-xs-3">提现金额</label>
                        <div class="col-xs-8 text-left">
                            <input type="text" name="amount" class="form-control" />
                            <span class="text-red">*可提现金额：2000</span>
                        </div>
                        <div class="col-xs-1"><p class="form-control-static">元</p></div>
                    </div>
                </div>



            </div>
            <div class="box-footer text-center" style="white-space:nowrap;">
                <button type="submit" class="btn btn-success" id="btnBoxSure">确认</button>
            </div>
        </form>
    </div>

    <script type="text/javascript">
        require(["jquery",
            "bootstrap",
            "modules/base",
            "modules/login",
            "modules/message", "libraries/jquery.lazyload.min", "jquery.raty"],
            function ($, boot, base, login, message) {
                base.init();

                $('.form-feedbacks .star-panel').raty({
                    path: "/Public/js/libraries/jquery.raty/images"
                });
            });
    </script>

    <block name="bottom"></block>
    <block name="footer_scripts"></block>
</body>
</html>
